Code of Alabama

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36-29-19.2
Section 36-29-19.2 The State Employees' Insurance Board may offer supplemental coverage.
The board may no later than January 1, 2006, offer employees a supplemental coverage to other
employer group health insurance coverage. (1) For employees who have spouses with other employer
group health insurance coverage available to them through their employer, or previous employer,
the board may provide such employees with a supplemental coverage to the other employer group
health insurance coverage in lieu of coverage in the basic medical plan of the State Employees'
Health Insurance Plan. (2) An employer that provides its employees and their spouses with
other employer group health insurance coverage may not exclude an employee, as defined under
Section 36-29-1, or his or her spouse from coverage by application of a provision which
does not also apply on the same terms and conditions to other employees or their spouses.
No provision of this section requires an employer to amend its plan to...
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16-25A-5.1
Section 16-25A-5.1 Supplemental policy to provide secondary coverage for employees.
The board may, no later than January 1, 2006, offer employees a supplemental policy that provides
secondary coverage to other employer group coverage. (1) For employees who have spouses with
other employer group health insurance coverage available to them through their employer or
previous employer, the board may provide such employees and retirees with a supplemental coverage
policy to the other employer group health insurance coverage in lieu of full basic medical
plan coverage through the plan. (2) An employer that provides its employees and their spouses
with other employer group health insurance coverage may not exclude an employee, as defined
under Section 16-25A-1(1), or his or her spouse from coverage by application of a provision
which does not also apply on the same terms and conditions to other employees or their spouses.
No provision of this section requires an employer to amend its plan to...
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27-21B-10
Section 27-21B-10 Enforcement of health care coverage for certain employers. (a) In
any case in which a noncustodial parent is required by a court or administrative order to
provide health care coverage for such child and the employer of the noncustodial parent is
known to the Department of Human Resources, the department shall use the federally required
medical support notice to provide notice to the employer of the requirement for employer-based
health care coverage for the child through the parent of the child who has been ordered to
provide health care coverage for the child unless a court or administrative order stipulates
that alternative health care coverage to employer-based coverage is to be provided for a child
subject to a Title IV-D child support order. In the case of an employer entered in the directory
of new hires pursuant to Section 25-11-5, the department shall send the federal medical
support notice to any employer of a noncustodial parent subject to the order within...
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36-29-6
Section 36-29-6 Authorization and execution of contracts; documentation of benefits.
(a) The board is hereby authorized to execute a contract or contracts to provide the plan
determined in accordance with the provisions of this chapter. Such contract or contracts may
be executed with one or more agencies or corporations licensed to transact or administer group
health insurance business in this state. All of the benefits to be provided under this chapter
may be included in one or more similar contracts issued by the same or different companies.
(b) Before entering into any contract or contracts authorized by subsection (a) of this section,
the board shall invite competitive bids from all qualified entities who may wish to administer
or offer plans for the health insurance coverage desired. The board shall award such contract
or contracts on a competitive basis as determined by the benefits afforded, administrative
costs, the costs to be incurred by employee, retiree, and employer, the...
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36-29-7
Section 36-29-7 Payment of employer's contribution; coverage for dependents; changes
to contributions; withholding of employee's contribution; State Employees' Insurance Fund.
(a) The board is hereby authorized to provide under the provisions of this chapter that the
employer's contribution to the cost of such plan for coverage of the employee and retiree
shall be paid by the employer. (b) Each employee and retiree shall be entitled to have his
or her spouse and dependent children, as defined by the rules and regulations of the board,
included in the coverage provided upon agreeing to pay the employee's contribution of the
health insurance premium for such dependents. The board shall adopt regulations governing
the discontinuance and resumption by such employees and retirees of coverage for dependents.
(c) Subject to Section 36-29-19.3, any further changes in employee or retiree contribution
to the health insurance premium or other out-of-pocket expenses including, but not limited
to,...
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16-25A-7
Section 16-25A-7 Authorization and execution of contracts; evidence of coverage; denial
of claims. (a) The board is hereby authorized to execute a contract or contracts to provide
for the benefits or the administration of the plan determined in accordance with the provisions
of this article. Such contract or contracts may be executed with one or more agencies or corporations
licensed to transact or administer group health insurance business in this state. All of the
benefits to be provided under this article may be included in one or more similar contracts
issued by the same or different companies. The board is further authorized to develop a plan
whereby it may become self-insured upon its finding that such arrangement would be financially
advantageous to the state and plan participants. (b) Before entering into any contract or
contracts authorized by subsection (a), the board shall invite competitive bids from all qualified
entities who may wish to administer or offer plans for the...
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25-5-8
Section 25-5-8 Employers' options to secure payment of compensation. (a) Option to insure
risks. An employer subject to this chapter may secure the payment of compensation under this
chapter by insuring and keeping insured his or her liability in some insurance corporation,
association, organization, insurance association, corporation, or association formed of employers
and workers or formed by a group of employers to insure the risks under this chapter, operating
by mutual assessment or other plans or otherwise. Notwithstanding the foregoing, the insurance
association, organization, or corporation shall have first had its contract and plan of business
approved in writing by the Commissioner of the Department of Insurance of Alabama and have
been authorized by the Department of Insurance to transact the business of workers' compensation
insurance in this state and under the plan. Notwithstanding any other provision of the law
to the contrary, the obligations of employers under law for...
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36-29-5
Section 36-29-5 Expenses, treatment, etc., not to be included under plan. (a) Such health
insurance shall not include any of the following: (1) Expenses incurred by or on account of
an individual prior to the effective date of the plan. (2) Cosmetic surgery or treatment,
except to the extent necessary for correction of damages caused by accidental injury while
covered by the plan or as a direct result of disease covered by the plan. (3) Services received
in a hospital owned or operated by the United States government for which no charge is made.
(4) Services received for injury or sickness due to war or any act of war, whether declared
or undeclared, which war or act of war shall have occurred after the effective date of this
plan. (5) Expenses for which the individual is not required to make payment. (6) Expenses
to the extent of benefits provided under any employer group plan other than the plan in which
the state participates in the cost thereof. (7) Such other expenses as may be...
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36-26-14
Section 36-26-14 Deferred compensation plans for certain employees. (a) The personnel
board may adopt, establish, and maintain a deferred compensation plan or plans, except under
Internal Revenue Code Section 403 (b), for the employees of the State of Alabama or
any city, town, county, or public entity or corporation organized pursuant to the laws of
this state. Notwithstanding the foregoing, prior to the employees of a county or political
subdivision of the county participating in a plan, the employing county or political subdivision
of the county shall approve participation in the plan. The personnel board may include in
any such plan any provision that does not cause the plan to fail to qualify for its tax-favored
treatment under the United States Internal Revenue Code, including, but not limited to, participant
loans, unforeseeable emergency or hardship distributions, Roth deferrals, rollovers, transfers
to purchase service credit, and distributions to purchase a retired public...
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27-21A-3
Section 27-21A-3 Issuance of certificate of authority. (a)(1) Upon receipt of an application
for issuance of a certificate of authority, the commissioner shall forthwith transmit copies
of such application and accompanying documents to the State Health Officer. (2) The State
Health Officer shall determine whether the applicant for a certificate of authority, with
respect to health care services to be furnished: a. Has demonstrated the willingness and potential
ability to assure that such health care services will be provided in a manner to assure both
availability and accessibility of adequate personnel and facilities and in a manner enhancing
availability, accessibility, and continuity of service; b. Has arrangements, established in
accordance with the regulations promulgated by the State Health Officer, for an on-going quality
assurance program concerning health care processes and outcomes; and c. Has a procedure, established
in accordance with regulations of the State Health...
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